Compounded Naltrexone Sublingual (LDN) 9 mg / mL — Compounded Sublingual Liquid Patient Monograph

Patient education monograph for Compounded Naltrexone Sublingual (LDN) (9 mg / mL), a compounded sublingual liquid. Learn how it works, how to use it, possible side effects, and find a licensed compounding pharmacy near you.

What is Compounded Naltrexone Sublingual (LDN)?

This compounded preparation contains naltrexone at a low dose in a sublingual liquid base, prepared by a licensed compounding pharmacy pursuant to an individual patient prescription. It is used in low-dose naltrexone (LDN) protocols as directed by a prescriber for immune modulation, pain support, and related indications.

How does Compounded Naltrexone Sublingual (LDN) work?

At low doses, naltrexone transiently blocks opioid receptors for a few hours, triggering a rebound increase in endogenous endorphins and enkephalins. This brief blockade is believed to reduce systemic inflammation and modulate immune function. The sublingual route is intended to facilitate absorption through the mucosal lining of the mouth.

How to use Compounded Naltrexone Sublingual (LDN)

Use at bedtime or as directed by your prescriber. Place the dose under the tongue and hold as directed before swallowing. Do not take within 4–6 hours of any opioid medication — naltrexone will block opioid effects and may precipitate withdrawal.

Compounded Naltrexone Sublingual (LDN) side effects

Vivid or unusual dreams are the most commonly reported side effect in the first few weeks of use and typically resolve with time. Mild insomnia, transient nausea, and headache may also occur at initiation. GI effects at low doses are generally mild.

Drug interactions with Compounded Naltrexone Sublingual (LDN)

Do not take within 4–6 hours of any opioid medication — naltrexone blocks their effect and can precipitate opioid withdrawal. Discuss with your prescriber if you take immunosuppressant medications, as LDN may modulate immune function. Do not combine with full-dose opioid therapies.

How to store Compounded Naltrexone Sublingual (LDN)

Store as directed by your pharmacy. Refrigerate if instructed. Protect from light and heat. Keep tightly closed and use within the beyond-use date on the label.

Precautions for Compounded Naltrexone Sublingual (LDN)

Do not use if you are currently taking full-dose opioid medications. Consult your prescriber before stopping or adjusting the dose. Do not drive after administration if drowsiness occurs. Keep out of reach of children.

Frequently Asked Questions — Compounded Naltrexone Sublingual (LDN)

What is Compounded Naltrexone Sublingual (LDN)?
This compounded preparation contains naltrexone at a low dose in a sublingual liquid base, prepared by a licensed compounding pharmacy pursuant to an individual patient prescription. It is used in low-dose naltrexone (LDN) protocols as directed by a prescriber for immune modulation, pain support, and related indications.
How does Compounded Naltrexone Sublingual (LDN) work?
At low doses, naltrexone transiently blocks opioid receptors for a few hours, triggering a rebound increase in endogenous endorphins and enkephalins. This brief blockade is believed to reduce systemic inflammation and modulate immune function. The sublingual route is intended to facilitate absorption through the mucosal lining of the mouth.
How do I use Compounded Naltrexone Sublingual (LDN)?
Use at bedtime or as directed by your prescriber. Place the dose under the tongue and hold as directed before swallowing. Do not take within 4–6 hours of any opioid medication — naltrexone will block opioid effects and may precipitate withdrawal.
What are the side effects of Compounded Naltrexone Sublingual (LDN)?
Vivid or unusual dreams are the most commonly reported side effect in the first few weeks of use and typically resolve with time. Mild insomnia, transient nausea, and headache may also occur at initiation. GI effects at low doses are generally mild.
Are there drug interactions with Compounded Naltrexone Sublingual (LDN)?
Do not take within 4–6 hours of any opioid medication — naltrexone blocks their effect and can precipitate opioid withdrawal. Discuss with your prescriber if you take immunosuppressant medications, as LDN may modulate immune function. Do not combine with full-dose opioid therapies.
How should I store Compounded Naltrexone Sublingual (LDN)?
Store as directed by your pharmacy. Refrigerate if instructed. Protect from light and heat. Keep tightly closed and use within the beyond-use date on the label.
What precautions should I know about Compounded Naltrexone Sublingual (LDN)?
Do not use if you are currently taking full-dose opioid medications. Consult your prescriber before stopping or adjusting the dose. Do not drive after administration if drowsiness occurs. Keep out of reach of children.
Where can I get compounded Compounded Naltrexone Sublingual (LDN)?
Compounded Naltrexone Sublingual (LDN) is available through licensed compounding pharmacies on the SlimionRX network. Visit slimionrx.com to find a pharmacy near you.
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